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Biomedical subjects

G R Hartwell

Publications and source records attributed to G R Hartwell.

35 records · Page 2Linked to original sources

Leakage in vitro with IRM, high copper amalgam, and EBA cement as retrofilling materials.

An in vitro dye leakage study was performed to compare the sealing ability of high copper amalgam with Copalite, IRM, and EBA cement when used as retrofilling materials. Fifty-one extracted anterior teeth were instrumented and then obturated with gutta-percha. The apical 3 mm of the roots were resected and 2-mm deep apical preparations were made. The roots were then randomly placed into three groups and retrofilled with one of the experimental materials. After 72 h in India ink, the teeth were cleared and evaluated for leakage with a stereomicroscope. No leakage was evident in the three teeth used as negative controls and complete leakage was noted in the three positive control teeth. Statistical analysis showed that IRM and EBA cement had significantly less leakage than amalgam with Copalite. The difference between the EBA cement and IRM was not significant.

Copper↗

Median mandibular lateral periodontal cyst.

The lateral periodontal cyst is a developmental odontogenic cyst associated with the lateral root surfaces of teeth. It is treated by surgical enucleation and diagnosed on the basis of clinical, radiographic, and histologic findings. This article is a case report of the surgical treatment of a lateral periodontal cyst in a unique mandibular midline location. The preoperative history and postoperative recall examinations cover an 8-year period.

Humans↗

Cold as a diagnostic aid in cases of irreversible pulpitis. Report of two cases.

Two case reports are presented to illustrate the effectiveness of cold in localizing the offending tooth in difficult diagnostic situations where painful pulpitis is present. A review of the literature reveals that there are several proposed theories concerning the mechanisms by which cold relieves the painful symptoms present in some cases of irreversible pulpitis. The hydrodynamic theory seems to provide the most feasible explanation of the events that occur.

Cold Temperature↗

The importance of the coronal seal following root canal treatment.

Although a plethora of research on coronal microleakage does not exist, the studies do confirm that a sound coronal seal is of paramount importance to the overall success of root canal treatment. Temporary restorations provide an adequate seal provided they are used correctly and only for a short time. The best rule of thumb is as follows: a properly cleaned, shaped, and obturated tooth should be permanently restored as soon as possible. If the clinician suspects coronal microleakage has occurred over a time period of 3 months or more, retreatment of the root canal should be performed before placement of a permanent restoration. The clinical significance of coronal recontamination over a time period of 1 to 3 months is more ambiguous; the existing conditions of each individual case will determine whether retreatment is necessary. Continued research, especially with in vivo models, is needed in this aspect of endodontics.

Dental Leakage↗